Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nia Jones

Buford,United States

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

9
9
years of professional experience

Work History

Medical Claims Processor

State Farm
Dunwoody, GA
04.2024 - Current
  • Investigated discrepancies in medical billing information such as incorrect codes or amounts due.
  • Responded promptly to customer inquiries regarding claim status or other issues.
  • Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
  • Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
  • Examined claims, records and procedures to grant approval of coverage.

Claims Associate

State Farm
Dunwoody, GA
05.2023 - Current
  • Interacted with clients via telephone and email, to discuss claim status and provide updates.
  • Maintained accurate records of all claim processing activities in accordance with company policies and procedures.
  • Participated in training sessions designed to improve understanding of new products and services offered by the company.
  • Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
  • Assisted new policyholders with processing claims.

Doctor's Assistant

Visionworks
Buford, GA
03.2022 - 05.2023
  • Interviewed patients and reviewed patient files to determine medical histories, previous treatment and therapies and medication history.
  • Recorded patients' medical history, vital statistics and test results in electronic medical records.
  • Maintained strict patient privacy and confidential patient information, taking care to meet HIPAA guidelines and statutes for data security.
  • Answered phones, scheduled appointments, greeted patients and ordered supplies.
  • Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.

Cashier/Customer Service Associate

Publix
Lawrenceville, GA
11.2015 - 04.2021
  • Collected payments and provided accurate change.
  • Helped customers find specific products, answered questions and offered product advice.
  • Trained new team members in cash register operation, stock procedures and customer services.
  • Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
  • Verified customer age requirement for alcohol or tobacco purchases.
  • Discounted purchases by scanning and redeeming coupons.
  • Operated cash register or POS system to receive payment by cash, check and credit card.
  • Preserved appearance of store by arranging and replenishing displays and merchandise racks.
  • Delivered high level of customer service to patrons using active listening and engagement skills.
  • Used suggestive selling techniques to promote add-on sales.
  • Answered product questions with up-to-date knowledge of sales and store promotions.
  • Scanned merchandise using point-of-sale system for accurate purchase totals.
  • Processed refunds for worn, damaged and broken merchandise.
  • Answered customer questions and provided store information.
  • Directed trash removal and sanitation procedures to keep aisles and register area organized.
  • Tracked company inventories, moved excess stock and arranged products to improve sales.
  • Worked closely with front-end staff to assist customers.
  • Processed sales transactions to prevent long customer wait times.
  • Accepted cash and credit card payments, issued receipts and provided change.
  • Helped with purchases and signed customers up for rewards program.
  • Learned roles of other departments to provide coverage and keep store operational.

Education

Bachelor of Arts - Sociology

Georgia State University
Atlanta, GA
05.2022

High School Diploma -

Peachtree Ridge High School
Suwanee, GA
05.2015

Skills

  • Customer assistance
  • Technologically savvy
  • Retail sales customer service
  • Project management abilities
  • Customer relations
  • Customer Service

Timeline

Medical Claims Processor

State Farm
04.2024 - Current

Claims Associate

State Farm
05.2023 - Current

Doctor's Assistant

Visionworks
03.2022 - 05.2023

Cashier/Customer Service Associate

Publix
11.2015 - 04.2021

Bachelor of Arts - Sociology

Georgia State University

High School Diploma -

Peachtree Ridge High School

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Nia Jones